Provider Demographics
NPI:1124143516
Name:COPE-LECLAIR, JANET MICHELLE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MICHELLE
Last Name:COPE-LECLAIR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:586 COUNTY ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-4204
Mailing Address - Country:US
Mailing Address - Phone:785-249-3612
Mailing Address - Fax:774-202-6822
Practice Address - Street 1:586 COUNTY ST UNIT 4
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-4204
Practice Address - Country:US
Practice Address - Phone:852-493-6127
Practice Address - Fax:774-202-6822
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
RIMHC01266101YM0800X
MA6376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1309161Medicaid